An Alternative Surgical Procedure for the Treatment of Vocal Fold Retention Cyst

Abstract Objective Enucleation is the standard surgical procedure for vocal fold retention cyst, but it is sometimes technically challenging when the cyst is large. A simple alternative procedure, which evolved from the concept of marsupialization of cystic lesions, is presented, and the treatment results are reported. Methods Termed the “wide-opening method,” this technique involves the removal of the medial half of the cyst with its overlying mucosa, which creates a large opening that prevents content retention. Twenty-one consecutive patients with a cyst with a diameter of greater than 2 mm were treated by this method. Videostroboscopy and voice function assessments were performed preoperatively and postoperatively. Results The procedure was completed on all patients without difficulty. Voice function assessments showed statistically significant improvement postoperatively. Videostroboscopy showed improved vocal fold vibration postoperatively in all patients, although in 9 patients the postoperative wound with mild local stiffness was observable. Recurrence was noted in 1 patient. Conclusions The wide-opening method is simple in technique, especially when the cyst is large. Voice improvement can be achieved postoperatively, and the recurrence rate is low.